Category 5 - DIAGNOSTIC IMAGING SERVICES

63416 - Additional Information

16 - MAGNETIC RESONANCE ANGIOGRAPHY - FOR SPECIFIED CONDITIONS - PERSON UNDER THE AGE OF 16 YEARS

NOTE: Benefits are payable for each service included by Subgroup 16 on one occasion only in any 12 month period

MAGNETIC RESONANCE ANGIOGRAPHY performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician - scan of person under the age of 16 for: